New York State Assembly

 
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A00568 Summary:

A00568 Actions:

A00568 Committee Votes:

Committee:HEALTH   Chair:Gottfried      
DATE:01/23/2019AYE/NAY:24/0  Action: Favorable refer to committee Ways and Means        
Gottfried
Aye
Raia
Aye
Schimminger
Excused
McDonough
Aye
Galef
Aye
Ra
Aye
Dinowitz
Aye
Garbarino
Aye
Cahill
Aye
Byrne
Aye
Paulin
Aye
Byrnes
Aye
Cymbrowitz
Aye
Ashby
Aye
Gunther
Aye
Rosenthal
Aye
Hevesi
Excused
Jaffee
Aye
Steck
Aye
Abinanti
Aye
Braunstein
Aye
Kim
Aye
Solages
Aye
Bichotte
Aye
Barron
Aye
Sayegh
Aye

Committee:WAYS AND MEANS   Chair:Weinstein      
DATE:05/14/2019AYE/NAY:29/3  Action: Favorable         
Weinstein
Aye
Barclay
Nay
Lentol
Aye
Crouch
Aye
Schimminger
Aye
Fitzpatrick
Aye
Gantt
Excused
Hawley
Nay
Glick
Aye
Malliotakis
Aye
Nolan
Aye
Montesano
Nay
Pretlow
Aye
Ra
Aye
Perry
Excused
Blankenbush
Aye
Colton
Aye
Palmesano
Aye
Cook
Aye
Norris
Aye
Cahill
Aye
Aubry
Aye
Thiele
Aye
Cusick
Excused
Ortiz
Aye
Benedetto
Aye
Weprin
Aye
Rodriguez
Aye
Ramos
Aye
Braunstein
Aye
McDonald
Aye
Rozic
Aye
Simotas
Aye
Dinowitz
Aye
Miller
Aye

A00568 Floor Votes:

A00568 Text:

 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                           568
 
                               2019-2020 Regular Sessions
 
                   IN ASSEMBLY
 
                                       (Prefiled)
 
                                     January 9, 2019
                                       ___________
 
        Introduced  by  M.  of  A. PAULIN, GUNTHER, L. ROSENTHAL, JAFFEE, ENGLE-
          BRIGHT, GOTTFRIED, WOERNER, FAHY, RODRIGUEZ -- Multi-Sponsored  by  --
          M.  of  A.  GALEF,  LIFTON, LUPARDO, McDONOUGH, PERRY -- read once and
          referred to the Committee on Health

        AN ACT to amend the public health law and the insurance law, in relation
          to premium reduction for obstetric practitioners who complete  a  risk
          management strategies course
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. The public health law is amended by adding  a  new  section
     2  2506-a to read as follows:
     3    §  2506-a.  Risk  management  strategies  in  obstetrics and midwifery
     4  courses. 1. In order to improve patient safety, birth  outcomes  and  to
     5  promote  informed  consultation  by  patients  with their physicians and
     6  licensed midwives during the prenatal through intrapartum and postpartum
     7  periods, the commissioner shall approve professional  education  courses
     8  for eligible physicians and licensed midwives as provided in subdivision
     9  four  of  this section that covers risk management strategies in obstet-
    10  rics and midwifery as described in subdivision two of this section. Such
    11  risk management strategies courses shall be subject to such standards as
    12  the commissioner may prescribe by regulation. In prescribing such  regu-
    13  lations,  the  commissioner  may  consult  with the American Congress of
    14  Obstetricians and Gynecologists, New York State Association of  Licensed
    15  Midwives  and  other health care organizations. An eligible physician or
    16  licensed midwife who successfully completes such risk management strate-
    17  gies course pursuant to this section shall  receive  continuing  medical
    18  education credit and a certificate of completion.
    19    2.   Courses on risk management strategies during the prenatal through
    20  intrapartum and postpartum periods shall promote evidence-based clinical
    21  guidelines and patient safety protocols  from  both  the  midwifery  and
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00596-01-9
        A. 568                              2
 
     1  obstetrical  perspectives. Options for courses should be appropriate for
     2  the respective profession and  may  include  information  and  education
     3  addressing  risks associated with the practice of obstetrics and midwif-
     4  ery.  Course  options  may  include issues such as: methods to eliminate
     5  non-medically indicated (elective) deliveries prior to thirty-nine weeks
     6  gestation including the neonatal impact of late preterm births;  vaginal
     7  births  after cesarean births and the applicability to a trial of labor;
     8  reductions in cesarean births; monitoring of fetal  well-being;  manage-
     9  ment  of  pain  in  labor;  management of maternal hemorrhage, including
    10  placenta accreta, hypertension in pregnancy, including pre-eclampsia and
    11  eclampsia, vaginal breech and prevention of shoulder dystocia; and other
    12  evidence-based guideline determined issues that  improve  the  care  and
    13  outcomes of women.
    14    3.  Attendance  at any course approved by the commissioner pursuant to
    15  this section may be in person or through distance learning methods which
    16  evince that all participants are in attendance for the duration  of  the
    17  course and able to ask questions of the instructor.
    18    4.  Physicians  who  are  board certified or are active candidates for
    19  board certification in obstetrics and physicians who are board certified
    20  or are eligible for board certification in family practice  and  provide
    21  obstetric services and midwives who are licensed in the state are eligi-
    22  ble for a risk management strategies course.
    23    5.  The  commissioner  is  authorized to prescribe any rules and regu-
    24  lations necessary to implement this section. In prescribing  such  rules
    25  and  regulations,  the  commissioner  shall consider the rules and regu-
    26  lations promulgated by the superintendent of financial services pursuant
    27  to subsection (e) of section two thousand three hundred  forty-three  of
    28  the  insurance  law and may consult with the superintendent of financial
    29  services.
    30    § 2. Subsection (e) of section 2343 of the insurance law, as added  by
    31  chapter 642 of the laws of 1990, is amended to read as follows:
    32    (e)  The superintendent may approve an actuarially appropriate premium
    33  reduction for an insured physician or licensed midwife who  successfully
    34  completes a risk management course or a course authorized by the commis-
    35  sioner  of  health  under section two thousand five hundred six-a of the
    36  public health law, which must be approved by the superintendent  subject
    37  to  such standards as the superintendent may prescribe by regulation. In
    38  prescribing such regulation the  superintendent  may  consult  with  the
    39  commissioner of health.
    40    §  3. This act shall take effect one year after it shall have become a
    41  law and shall apply to all  insurance  policies  and  contracts  issued,
    42  renewed,  modified  or  altered  on  and  after such effective date. The
    43  commissioner of health and the superintendent of financial services  are
    44  authorized  and  directed to adopt, amend, suspend or repeal regulations
    45  and take other actions necessary for  the  implementation  of  this  act
    46  prior  to  such  effective  date; provided, however, that such adoption,
    47  amendment, suspension or repeal of  regulations  shall  not  have  legal
    48  effect until this act takes effect.